DIONNESHAE MONIQUE FORLAND

SAINT LOUIS, MO
NPI1174752711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  117525)
Enumeration Date2009-07-03
Last Update Date2013-06-18
Business Address
-- DIONNESHAE MONIQUE FORLAND PTA
9191 W FLORISSANT AVE SUITE 200
SAINT LOUIS, MO 63136-1424
Phone number: 314-524-3958
Mailing Address
-- DIONNESHAE MONIQUE FORLAND PTA
9191 W FLORISSANT AVE SUITE 200
SAINT LOUIS, MO 63136-1424
Phone number: 314-524-3958